Active NPI
Our Lady of the Wayside Inc.
Doing business as Wayside Ride
- Non-emergency Medical Transport (VAN)
- Avon, OH
National Provider Identifier
1437505773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 475115
- Legal business name
- OUR LADY OF THE WAYSIDE INC.
- Doing business as
- Wayside Ride
- Practice address
- 38135 Colorado Ave
Avon, OH 44011-1028 - Phone
- (440) 934-6007
- NPI assigned
- May 5, 2016
- Last updated
- May 5, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Terry Davis
- Title
- President/Ceo
- Phone
- (440) 934-6007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 475115 | OH | Primary |
Addresses
Primary practice location
38135 Colorado Ave
Avon, OH 44011-1028
Mailing address
38135 Colorado Ave
Avon, OH 44011-1028
Phone (440) 934-6007
Other names 1
- Wayside Ride
National Provider Directory
National Provider Directory- Tax ID family
- Our Lady of the Wayside Inc
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Olmsted Falls, OH
- NPI 1891946901
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sheffield Village, OH
- NPI 1437300530
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Avon, OH
- NPI 1013168111
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sheffield Village, OH
- NPI 1699926568
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Avon, OH
- NPI 1306069752
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Avon, OH
- NPI 1255621991
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Oberlin, OH
- NPI 1417108382
Locations
38135 Colorado Ave
Avon, OH 44011
Phone (440) 934-6007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462406400000",
"number": "1437505773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38135 COLORADO AVE",
"city": "AVON",
"state": "OH",
"postal_code": "440111028",
"telephone_number": "440-934-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38135 COLORADO AVE",
"city": "AVON",
"state": "OH",
"postal_code": "440111028",
"telephone_number": "440-934-6007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR LADY OF THE WAYSIDE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-05",
"last_updated": "2016-05-05",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "440-934-6007",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "475115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wayside Ride",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.